Kevin Colin Soran Henson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

314 Badiola St
Caldwell, ID 83605-4389

Phone

(208) 454-8389

NPI assigned

Sep 13, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Human Supports of IdahoGroup PAC ID 0244485894, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.henson.1@24259.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Human Supports of Idaho

  • Psychiatry Physician
  • Boise, ID
  • NPI 1922340124
  Medicare reassignment Care Compare group NPD
• Human Supports of Idaho

  • General Practice Physician
  • Caldwell, ID
  • NPI 1700129491
  NPD
• Behavioral Health Solutions of Idaho

  • Psychiatry Physician
  • Boise, ID
  • NPI 1164286092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1194552240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BADIOLA ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054389",
            "telephone_number": "208-454-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 BADIOLA ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054389",
            "telephone_number": "208-454-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "KEVIN",
        "middle_name": "COLIN SORAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Henderson, CRNA
• Savanah J Hendrickson
• Sarah Ann Henrichs, ARNP
• Laura Danielle Henrie
• Makayla Henrie
• Jennifer Herdt
• Heritage Community Charter School
• Harriet Hernandez, NP
• Ismael Hernandez, LSW, CADCI
• Joel Agado Hernandez, OD

• Counselor in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.